Special Report

COVID-19: How Cases in the Iowa City, IA Metro Area Compare to Other Major Metros

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The U.S. reported over 289,000 new cases of coronavirus on July 20, bringing the total count to more than 33.7 million confirmed cases of COVID-19. There have been more than 603,000 COVID-19-related deaths — the highest death toll of any country.

New cases continue to rise at a steady rate. In the past week, there were an average of 7.5 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 4.5 daily new coronavirus cases per 100,000 people.

While new data shows that the risk of contracting COVID-19 is high in almost every part of the country, cities continue to be the sites of major outbreaks and superspreader events. Experts agree that the virus is more likely to spread in group settings where large numbers of people routinely have close contact with one another, such as colleges, nursing homes, bars, and restaurants. Metropolitan areas with a high degree of connectivity between different neighborhoods and a large population may be particularly at-risk.

The Iowa City, IA metro area consists of Johnson County and Washington County. As of July 20, there were 10,125.6 confirmed cases of COVID-19 per 100,000 Iowa City residents, roughly in line with the national rate. For comparison, the U.S. has so far reported 10,449.4 cases per 100,000 Americans nationwide.

The incidence of coronavirus cases depends on a variety of factors and can vary even between neighboring counties. Within the Iowa City metro area, Washington County has the highest incidence of COVID-19 cases. As of July 20, there were 11,746.6 cases per 100,000 residents in Washington County, the most of any county in Iowa City, and far greater than the county with the lowest incidence. In Johnson County, there were 9,884.4 cases per 100,000 residents — the least of any county in Iowa City.

In order to slow the spread of COVID-19, city and county governments have ordered the closure of thousands of consumer-facing businesses. These measures have led to widespread job loss and record unemployment. In the Iowa City metro area, unemployment peaked at 10.1% in April 2020. As of May 2021, the metro area’s unemployment rate was 3.6%.

To determine how the incidence of COVID-19 in the Iowa City, IA metro area compares to the rest of the country, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked metro areas based on the number of confirmed COVID-19 cases per 100,000 residents.To estimate the incidence of COVID-19 at the metropolitan level, we aggregated data from the county level using boundary definitions from the U.S. Census Bureau. Population data used to adjust case and death totals came from the U.S. Census Bureau’s 2019 American Community Survey and are five-year estimates. Unemployment data is from the Bureau of Labor Statistics and is seasonally adjusted.

These are all the counties in Iowa where COVID-19 is slowing (and where it’s still getting worse).

FIPS MSA Population Confirmed COVID-19 cases as of July 20 Confirmed COVID-19 cases as of July 20 per 100,000 residents Cumulative COVID-19 deaths as of July 20 Cumulative COVID-19 deaths as of July 20 per 100,000 residents
43580 Sioux City, IA-NE-SD 143,846 22,048 15,327.5 347 241.2
20220 Dubuque, IA 96,982 13,575 13,997.4 213 219.6
47940 Waterloo-Cedar Falls, IA 169,556 20,844 12,293.3 411 242.4
19780 Des Moines-West Des Moines, IA 680,439 83,423 12,260.2 959 140.9
19340 Davenport-Moline-Rock Island, IA-IL 381,175 42,266 11,088.3 683 179.2
11180 Ames, IA 123,311 13,476 10,928.5 82 66.5
26980 Iowa City, IA 170,677 17,282 10,125.6 137 80.3
16300 Cedar Rapids, IA 270,056 27,024 10,006.8 454 168.1

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